Provider Demographics
NPI:1881775955
Name:OXY-ZEN, INC.
Entity type:Organization
Organization Name:OXY-ZEN, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:VIVO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-627-5800
Mailing Address - Street 1:3811 SCHAEFER AVE
Mailing Address - Street 2:SUITE I
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-5400
Mailing Address - Country:US
Mailing Address - Phone:909-627-5800
Mailing Address - Fax:909-627-2800
Practice Address - Street 1:3811 SCHAEFER AVE
Practice Address - Street 2:SUITE I
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-5400
Practice Address - Country:US
Practice Address - Phone:909-627-5800
Practice Address - Fax:909-627-2800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2736117332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies